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Rogue Medical Solutions (RMS) was created in 2015 by 3 physicians who practice Urology and Urogynecology at the Oregon Urology Institute in Springfield, Oregon. The initial idea of creating a way to navigate patients through a pathway for common urologic conditions arose during a discussion about bundled payments and how to improve efficiency.

Overactive bladder seemed like an excellent disease process to develop a pathway as there are published guidelines and management naturally occurs in a stepwise fashion and requires significant educational materials and provider time.

Identified potential improvements included improving patient education, enhancing compliance with behavioral therapies and decreasing unnecessary office visits for patients who are doing well and advancing patients along the pathway who are struggling

In 2016 we had the good fortune to come in contact with the founders and developers of Doctella ( who provide electronic care pathways and have developed a platform for providing educational alerts and notifications to patients.

At this point an opportunity to develop urologic care pathways in partnership with Doctella was begun and the overactive bladder (OAB) pathway was developed. Soon thereafter the benign prostatic hypertrophy (BPH) pathway was developed and several additional pathways are in development including advanced prostate cancer (APC) and chronic care management (CCM).

Brady R Walker, MD

David S DiMarco, MD

Connie S DiMarco, MD

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